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JAN MEDIA REVIEWS

Edited by Graham R. Williamson

Your Undergraduate Dissertation: the Essential Who Should we Treat? Rights, Rationing and
Guide for Success Resources in the NHS
by Nicholas S.R. Walliman. by Christopher Newdick.
Sage, London, 2005, 275 pages, £13Æ99, Oxford University Press, Oxford, UK, 2005, 278 pages, £50,
ISBN 0 7619 4140 1. ISBN 0 1992 6417 1.

The primary purpose of this book is to help undergraduate Newdick explains why, as a result of both past and present
students understand how a research dissertation may be government policies and legislation, the question, ‘Who should
formulated. An initial striking feature is that this book is not we treat?’ is unanswerable at present. He therefore restates the
written with specific reference to nursing research. The book case for government-led explicit, ‘clear priorities’, particularly
comprises twenty chapters each with a specific focus and given the growing number of legal challenges against refusals by
progresses in a logical manner. First, the book commences United Kingdom (UK) Primary Care Trusts to fund expensive
with chapters on the purpose of dissertations and the differ- treatments of sometimes doubtful utility.
ent types of dissertations that may be written. The intangible This is not a text on ‘ethics’. However, the author readily
aspect of being motivated to commence, carry out and com- acknowledges the necessary contribution of ethical considera-
plete a dissertation is considered. Second, formulating a research tions in decision making, particularly when discussing the use of
idea, searching the literature relevant to this idea and thinking the quality adjusted life year (QALY) in resource allocation
about the philosophy to underpin one’s study are examined. decisions, and the tensions inherent in reconciling clinical
Third, how to write a research proposal is addressed. Fourth, freedom and the obligation not to ‘waste’ scarce UK National
chapters eleven to sixteen are concerned with research Health Service (NHS) resources. He examines ideas of a ‘right’ to
methods. Quantitative and qualitative methods of data collec- health, in contrast to a ‘right’ to health care.
tion and analysis are examined as is the issue of maintaining The book also displays an impressive grasp of detail, both of
ethical integrity within one’s study. Finally, chapters seventeen to the structures of the NHS and the challenges facing those who
twenty are concerned with the writing up of a final research work in it. As expected from a lawyer, there is both description
report with attention being given to writing style, accurate and analysis of the legal framework within which the organisa-
referencing and dissemination of the report and its findings. In tion is expected to operate. The principles of judicial review and
conclusion, this book provides a clear and accurate description of the impact of the Human Rights Act 1998 on decision making by
how one may formulate a research report. Indeed, if not in the public bodies are clearly analysed, as are medical negligence and
process of writing a research report, one may still use this book the governance of resource allocation.
as a general research textbook. Although not written with Although firmly rooted in UK health policy and legislation,
specific reference to nursing, the content of the book is clearly of this exceptionally comprehensive book will be of interest to those
relevance to nurses engaged in undergraduate or post graduate in other countries studying the UK healthcare system. This is an
research. excellent text for UK healthcare professionals of all disciplines
wishing to make some sense of the seemingly intractable
Declan Patton BNS PGDipED MSC RPN RNT
resourcing problems besetting the NHS.
School of Nursing, Midwifery and Health Systems,
Health Science Centre, University College Dublin, Diane Cockayne BA LLM RGN RHV
Dublin, Ireland Lecturer, School of Nursing and Midwifery,
University of Sheffield,
Sheffield, UK

Ó 2006 The Author. Journal compilation Ó 2006 Blackwell Publishing Ltd 649

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